NPIMap

Organization Active NPI

East Cobb Wellness Center

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1073872388
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO06299 Issued in GA
Legal business name
EAST COBB WELLNESS CENTER
Practice address
736 Johnson Ferry Rd.
C-130
Marietta, GA 30068
Phone
(770) 565-2313
Fax
(770) 565-8733
NPI assigned
May 7, 2012
Last updated
May 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason Kaye, D.C.NPI 1477628337
Title
Ceo
Phone
(770) 565-2313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO06299 GA Primary

Addresses

Primary practice location

736 Johnson Ferry Rd.
C-130
Marietta, GA 30068

Mailing address

736 Johnson Ferry Rd.
C-130
Marietta, GA 30068
Phone (770) 565-2313

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1073872388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 JOHNSON FERRY RD.",
            "address_2": "C-130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30068",
            "telephone_number": "770-565-2313",
            "fax_number": "770-565-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 JOHNSON FERRY RD.",
            "address_2": "C-130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30068",
            "telephone_number": "770-565-2313",
            "fax_number": "770-565-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COBB WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "KAYE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-565-2313",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO06299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.